PL-15-2325 (2) pi t IG d PL-95,2325 '.
Miami Shores Village �' '8}7Ftl1�1L �`lutilti)171t -Residential
10050 N.E.2nd Avenue NE 1AJ kaodli dorl septile
Miami Shores,FL 33138-0000 rm,�
hyo° PG!?7X1°aJfS:°A `ROE :=
�RSA Phone: (305)795-2204
X11712015 Expiration: 03/15/2016
Project Address Parcel Number Applicant
1275 NE 94 Street 1132050100090
Miami Shores, FL 33138-2946 Block: Lot: JAMES AND JANINE TURK
Owner Information Address Phone Cell
JAMES AND JANINE TURK 2020 N BAYSHORE Drive
MIAMI FL 33137-
2020 N BAYSHORE Drive
MIAMI FL 33137-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
ALLSTATE DIVERSIFIED ENGINEERIP (305)256-0306 (305)258-7797
Total Sq.Feet: 0
Type of Work:SEPTIC Available Inspections:
Type of Piping: Inspection Type:
Additional Info: HRS Approval
Bond Return: Final
Classification:Residential Scanning:3 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# PL-9-15-57066
DBPR Fee $4.50
DCA Fee $4.50 09/17/2015 Check#:4675 $271.20 $50.00
Education Surcharge $0.40 09/14/2015 Check#:4651 $50.00 $0.00
Permit Fee $300.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $321.20
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFID IT ce ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an o ing. Fut ermore,I authorize the above-named contractor to do the work stated.
September 17, 2015
uthori ed Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
September 17,2015 1
Miami Shores Village
Building Department SEP 14
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 5
FBC 2014
BUILDING Master Permit Nc- H 9 a
PERMIT APPLICATION Sub Permit N `�L 157- 23 ZS'
❑BUILDING F-1ELECTRIC r-1ROOFING F-1REVISION ❑ EXTENSION ❑RENEWAL
/LUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELIATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
125 IV• �(�I�� rye
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 5,x—on—(M- 0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: —Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): . _o Phone
Address: 8 � DC7 - ;
Cit y
� I P l � State: �'II
City: \ Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: �a
p y Phone#:
Address:
City: TQC p State: 41 Zip: � ,�_
Qualifier Name: I C fib^® Phone#:-2r)1SC)
State Certification or Registration Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ " Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New
❑ Repair/Replace ❑ Demolition
Description of Work: 5 041,C
Specify color of color thru tile:
o®
Submittal Fee$ Permit Fee$ ' CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ N tary$
Technology Fee$ Training/Education Fee$ Double ee$
Structural Reviews$ Bond$
TOTAL FEE NOW DITE
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State zipl
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert�fy that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet thestandards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELETRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR EY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abs o uch posted notice, the
inspection will not be a roved�aqj a reinspection fee will be charged.
Signature a C Y Signature
t°
O ER or AGENT CONT OR
The foregoinins ument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 1 by 8 day of �D Zs 20 6 , by
�t (• Ste- who is personally known to -` �' '"$ wh known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did to"e arl oath.
NOTARY PUBLIC: NOTARY PUBLIC:
f
Sign �� " p �-- � /
g 4�i�,• Sign:
Print: �'� S n�"��! Print:
Seal: ��� a� ANDREA TAYLOR WONG SHOE ttr4+'"r � S IMA STA
�I
Notary Public.State of Florida Seal: a L MY COM SSION#EE 873354
Commission#FF 195954 ;,., AV EXPIRES:May 11,2017
M '�yjf iondW Thru otary Publ'c Un6rwftB
y comm.expires Feb.4.2019
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
PERMIT #: 13-SC-1545696
STATE OF FLORIDA APPLICATION #:AP1151279
DEPARTMENT OF EMALTB
s` ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID:
SYSTEM FEE per:
CONSTRUCTION PERMIT RECEIPT #:
WDocaium #: PRM317
CONSTRUCTION PERMIT FOR: DSTDS New
APPLICANT: James Turk
PROPERTY ADDRESS: 1275 NE 94 St Miami,FL 33138
LOT: 10 BLOCK: SUBDIVISION: Miami Shores Bay View
PROPERTY ID #: 11-3205-010-0090 [SECTION, TOWNSHIP, RAND, PARCEL NUMBER]
[OR TAB ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64R-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROGS COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] SNS / GPD housing 0.90 Miaofast unit CAPACITY
A I 900 ] GALLONS / GPD Pretreatment tank CAPACITY
N [ l GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ 900 ] GALLONS DOSING TANK CAPACITY [ 87.00 ]GALLONS 8[ 6 ]DOSES PER 24 HRS #Pumps ( 1 ]
D E 488 l SQUARE FEET Drib Irrigation(trench oonf SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [$] NO= [ ]
I CONFIGURATION: Exl TRENCH [ ] BED [ ]
N
F LOCATION OF BENCEMG Rx: CL NE 94 st.,4.66'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 6.72 l INCHES FT IjABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIZLD TO BE [ 4.08 ]Fn—=—U—Sj FT ]"BELOW]BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [29.00] INCHES EXCAVATION REQUIRED: [ 31.201 INCHES
0 *Invert elevation of drainfield to be no less than 5.00'NGVD.
*Bottom of drainfield elevation to be no less than 5.00'NGVD.
T *Install 42"of slightly limited soil under the bottom of drainfield,
H -Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench.
E
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons(2 per bedroom),for a total iestimated flow
of 520 gpd.
R The licensed contractor installing the system is responsible for installing the minimum category of tank in pcxordonce
with s.64E-6.013(3)(f�FAC.Performing Lift Dosing.
SPECIFICATIONS BY: Roberto N Ruiz TITLE:
APPROVED BY: TITLE: Dade CED
os K 10"a
DATE ISSUED: 08/20/2014 EXPIRATION DATE: 02/20/2016
DH 4016, 06/09 (Obsoletes all previous editions which may not be used)
Incorporated: 648-6.003, FAC
v 1.1.4 AP1151279 SE936464
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• ,:�iy APPLICATION #:
�9n
STATE OF FLORIDA PERMIT #:13-SC-1545696
DEPARTMENT OF HEALTH DOCUMENT #:F11035017
`. ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DATE PAID:12/04/2015
CONSTRUCTION INSPECTION AND FINAL APPROVAL
FEE PAID:1 OO.00
RECEIPT #:13-PID-2856568
APPLICANT: James Turk
AGENT: Wendell Smith
PROPERTY ADDRESS: 1275 NE 94 St Miami, FL 33138
LOT: 10 BLOCK:
SUBDIVISION: Miami Shores Bay View ID#: 11-3205-010-0090
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [1] 900.00 [2] 1050.00 [ ] [27] SURFACE WATER FT
[ ] [021 TANK MATERIAL Concrete [ ] [28] DITCHES FT
[ ] [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS FT
[ ] [04] MULTI-CHAMBERED [ Y N [ ] [30] PUBLIC WELLS FTS
[ ] [05] OUTLET FILTER Tuf-rite EF-4 [ ] [31] IRRIGATION WELLS FT
( ] [06] LEGEND 1. 13-045-04SC3 2. 13-045-08SC3 [ ] [321 POTABLE WATER 5 Sch40 FT
[ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 8 FT
[ ] [08] LEVEL [ ] 1341 PROPERTY 'LINES 2.5 FT
[ ] [09] DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA (1] 488 [2] SQFT [ ] [36] DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X [ ] [371 SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 11.00 2. [ ] [38] SLOPES
[ ] [13] DRAINLINE SEPARATION ( ] (39] STABILIZATION
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM 5.16 [ ] [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
[ ] [18] DOSING PUMPS [ ] [421 ALARMS
[ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT
[ ] [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ l [46] FINAL SITE GRADING
[ ] [221 FILL AMOUNT [ ] [47] CONTRACTOR Guillermo Suarez(A League
[ ] [23] FILL TEXTURE [ 7 [48] OTHER Drip Irrigation-Geoflow
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [49] TANK PUMPED
[ ] (26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments Comments are on page 2
C [ AppROVED Dae CHD DATE: 11/24/2015
CONSTRUCTION
/
DISAPPROVED j Engineering Specialist 11 Yude)sy Martin(Department of Health in Dade Cou
CHD DATE:DATE: 01/25/2016
FINAL SYSTEM [ APPROVED / DISAPPROVED j; Ql Fd' � ®tea f`�r�� Dade
Engineeringspecialist r an e m sca epartment o ea n Dade C
(Explanation of violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may not be used) page 2 of 3
Incorporated: 64E-6.003, FAC
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